Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | P6828 | TX |
NPI | 1205082385 |
---|---|
Provider Name | Dr. Mona H Mallikarjuniah |
First Address | Weslaco, TX 78596-5587 |
Second Address | Weslaco, TX 78596-5587 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2008 |
Last Update Date | 10/10/2017 |